Organization · Type 2 NPI
John A Fetchero JR D O P A
Otolaryngology/Facial Plastic Surgery Physician · Orange Park, FL
NPI number
1457397499
Active
Practice location
1542 Kingsley Ave Ste 140
Orange Park, FL 32073-4547
Fax (904) 278-3849
Mailing address
2862 Country Club Blvd
Orange Park, FL 32073-5728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Other otolaryngology/facial plastic surgery physician providers in Orange Park
About NPI 1457397499
John A Fetchero JR D O P A's National Provider Identifier is 1457397499, issued on Jun 20, 2006. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Orange Park, FL. The record was last updated on Sep 30, 2010.